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JUL-26-2007 03:21P FROM: TO:4683433 P.3 UNDERGROUND STORAGE TANK MONITORING PL —PAGE 2 V :DISPENSER ONITO G 77 MONITORING OF AREAS.BENEATH DISPENSERS)IS.PERFORMED USING THE FOLLOWING METHODS)(Check all.that apply) Mso. ❑ I.CONTINUOUS ELECTRONIC MONITORING OF UNDER DISPENSER CONTAINMENT(UDC) PANEL MANUFACTURER: i,4509fl_2ry r' Mst. MODEL#: _�--- M51 LEAK SENSOR MANUFACTURER: .A- asm r__ M33- MODEL#(S)._:1'J q M54- WILL DETECTION.OF A LEAK INTO THE UDC TRIGGER AUDIBLE AND.VISUAL ALARMS? ® a,YES ❑. b..NO Mss. WILL A UDC.LEAK ALARM TRIGGER AUTOMATIC PUMP SHUTDOWN? ® a.YES ❑ b.NO M'6- WILL FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGER AUTOMATIC PUMP SHUTDOWN? IN a.YES ❑ b.NO M17- 0 2.MECHANICAL ASSEMBLY(e.g.,FLOAT AND CHAIN ASSEMBLY)IN UDC TRIPS SHEAR VALVE IN CASE OF LEAK ASSEMBLY MANUFACTURER. M56. MODEL#(S): M$9. ❑ 3.VISUAL MONITORING DONE: ❑ a-DAILY ❑ b.WEEKLY(ttaqtgra mer wpmaq Mso. ❑ 4.NO.DISPENSERS [:199.OTHER(Speci Msi. VII;' ENHANCED LEAK DETECTION ❑ 1.WE HAVE BEEN.NOTIFIED.BY THE STATE WATER RESOURCES CONTROL BOARD.THAT WE MUST IMPLEMENT ENHANCED LEAK a DETECTION(ELD)FOR THE UST(S)COVERED BY THIS PLAN_PER 23.CCR§2644.1,ELD IS PERFORMED EVERY 35 MONTHS AS REQUIRED VIM. rf"INNG ' w REFERENCE DOCUMENTS MAINTAINED AT FACILITY(Check all that apply) Mso. 1. 1 THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required) 2. OPERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required) 3. THE FACILITY'S BEST MANAGEMENT PRACTICES(Required as of 1/01/2005) 4. CALIFORNIA UNDERGROUND STORAGE TANK REGULATIONS 5. ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 6. ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION" 7. ❑ SWRCB.PUBLICATION:"WEEKLY MANUAL TANK GAUGING FOR SMALL UNDERGROUND.STORAGE TANKS" 99.❑ OTHER(Specify): Mal, Personnel.with UST monitoring responsibilities are familiar with all of the above documents relevant to their job duties and can access those documents when needed. By January 1,2005 this facility will have a"Desipated UST Operatoe,who has passed the operator exam administered by the International.Code Council(ICC). By January 1,2005,and annually thereafter,the "Designated UST Opemtor"will train facility employees in the proper operation and maintenanceof the.UST systems, This training will include,but is not limited to,the following: > Operation of the UST systems in a manner consistent with the facility's best management practices. > The facility employee's role with regard to the leak detection equipment. > The facility employee's role with regard to spills and overfills. > Whom to contact for emergencies and leak detection alarms, For facility employees hired on or after.January 1,2005,the initial training will he conducted within 30.days of the dale of hire. IX :CO NTS/ADD.ITIONAL.INFORMATAN Please use.this section to include any additional UST system monitoring-related information(e.g.,additional information required by your local agency): Mss. lflS plfal if Sys-YjrM /►�NlZttft * T T��'I sl T£ �/VGL(<&C1 VS E1a-;2 &am T T4 S 3,a W1 /S v oPw 6 BSQ itPP, FILL PRSat/c W?►O7d X. PERSONNEL RESPONSIBILITIES AS.OF 111105,THE"DESIGNATED UST OPERATOR"IDENTIFIED IN SECTION III OF THE CURRENT UST OPERATING PERMIT APPLICATION— FACILITY FORM WILL HAVE ULTIMATE AUTHORITY FOR PERFORMING THE MONITORING ACTIVITIES AND MAINTAINING LEAK DETECTION EQUIPMENT COVERED BY THIS.PLAN,AND.WILL PERFORM AND DOCUMENT MINIMUM MONTHLY VISUAL INSPECTIONS.OF THE FACILITY'S UST SYSTEMS IN ACCORDANCE WITH 23 CCR 1.2715 b. ;. XI. 'OWN ERlbPE1tATOR SIGNATURE CERTIFICATION:I certify that the information provided herein is trite and accurate to the best of my knowletie. OWN ER/OPERAJ01P S NATURE BZ-PRESENTINQ DATE: - hot, M Owner M9a, '7— 7-5 r ❑Operator OWNER/OPERATORNAME(print): M92 OWNER/OPERATOR TITLE: M93. (Agency Use Only) This plan has been reviewed and: Approved ❑Approved With Conditions ❑Disapproved Local Agency Signature: Date: Comments/Special Conditions: S3CE110-4(07/03)-3/4 07/2 W